Yalçin I, Taşkin S, Pabuçcu E G, Söylemez F
Department of Obstetrics and Gynecology, Alaşehir State Hospital , Manisa , Turkey.
J Obstet Gynaecol. 2015 Apr;35(3):283-6. doi: 10.3109/01443615.2014.948822. Epub 2014 Aug 25.
The aim of this paper was to investigate the levels of maternal serum placental protein13 (PP13), beta human chorionic gonadotropin (β-hCG) and progesterone in the prediction of miscarriages in threatened miscarriages. A total of 110 patients with a gestational age < 14 weeks were included in the study. A total of 42 patients were allocated as the study group (threatened miscarriage) and 68 patients were allocated as controls. A total of six miscarriages were observed in the study group. β-hCG levels were significantly lower in the group with threatened miscarriage when compared with controls (p = 0.018). There was no statistically significant difference in regard to progesterone and PP13 levels occurred between two groups (p = 0.653 and p = 0.062, respectively). Following receiver operating characteristic (ROC) analysis, the β-hCG parameter was found useful in differentiating miscarriages from the threatened miscarriage group (p = 0.031). PP13 and progesterone parameters in predicting miscarriages were not found as statistically significant (p = 0.084 and p = 0.914, respectively). This study suggests that β-hCG measurements could be useful in predicting spontaneous miscarriage in women presenting with threatened miscarriage. Even though PP13 seems unfeasible to be used as a predictive marker for miscarriage, factors affecting PP13 levels should be considered along with the need for comprehensive studies including larger patient populations.
本文旨在研究母血清胎盘蛋白13(PP13)、β-人绒毛膜促性腺激素(β-hCG)和孕酮水平在预测先兆流产患者流产中的作用。本研究共纳入110例孕周<14周的患者。其中42例患者被分配为研究组(先兆流产),68例患者被分配为对照组。研究组共观察到6例流产。与对照组相比,先兆流产组的β-hCG水平显著降低(p = 0.018)。两组之间的孕酮和PP13水平无统计学显著差异(分别为p = 0.653和p = 0.062)。经过受试者工作特征(ROC)分析,发现β-hCG参数有助于区分先兆流产组中的流产情况(p = 0.031)。未发现PP13和孕酮参数在预测流产方面具有统计学意义(分别为p = 0.084和p = 0.914)。本研究表明,β-hCG检测可能有助于预测出现先兆流产的女性的自然流产情况。尽管PP13似乎无法用作流产的预测标志物,但在进行包括更大患者群体的综合研究时,应考虑影响PP13水平的因素。